Question

Determine the accession number for the following patients:

a. A patient enters A hospital in 2003 and is diagnosed with breast cancer; the patient is the 33rd patient accessioned in 2003. Accession number is?
b. Same patient with a breast primary returns to A hospital with a subsequent colon primary in 2004. Accession number is?
c. Same patient diagnosed with breast primary in 2003 at A facility, enters B facility in 2005 with lung primary and is the 10th case accessioned. Accession number is?
d. Same patient is diagnosed in staff physician office in December 2006 enters the reporting B facility in January 2007 with primary melanoma and is the 12th case accessioned. Accession number is?

Answer 1

Accession numbers are unique identifiers for patient cases and would differ based on the year and facility. Hypothetical examples are 2003-033, 2004-033, 2005-B-010, and 2007-B-012; however, the actual numbers depend on the hospital's system.

Step-by-step explanation:

The accession numbers for the patient described would typically follow a specific format outlined by the hospital or registry system, which often includes the year of diagnosis and a unique identifier for that patient's case for that year. Since the scenario does not provide a specific format, a general template will be used.

• a. If a patient is diagnosed with breast cancer in 2003 and is the 33rd patient, their accession number could be 2003-033.
• b. For the same patient returning in 2004 with a subsequent colon primary, the accession number would likely be updated to reflect the new year of diagnosis, for example, 2004-033 to indicate the same patient's new case.
• c. Upon entering facility B in 2005 with a lung primary as their 10th case, the accession number might be 2005-B-010, indicating the year, the facility, and the case number.
• d. If the diagnosis is made in a staff physician's office but the patient enters reporting facility B in 2007 as the 12th case, the accession number could be 2007-B-012.

It should be noted that the actual accession numbers would depend on the exact coding and numbering system used by the hospital or cancer registry. The numbers provided above are hypothetical examples.